Pump It Up: Increasing Mother’s Own Milk (MOM) During NICU Stay

There are known short and long term health benefits to using "mother's own milk" MOM for infants in the NICU. There are also formidable barriers to breast pumping for mothers with infants in the NICU. In their overall efforts to increase the use of MOM in the NICU, our hospital starte...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2019-08, Vol.144 (2_MeetingAbstract), p.268-268
Main Authors: Haley, Sarah, Guillory, Charleta, Hurst, Nancy, Hagan, Joseph
Format: Article
Language:English
Subjects:
Birth weight
Breast feeding
Breast milk
Breastfeeding & lactation
Complications
Demographics
Ethnicity
Government programs
Historical account
Infants
Intensive care
Lactation
Medicaid
Minority & ethnic groups
Neonatal care
Pediatrics
Postpartum
Quality control
Statistical analysis
Warehousing management
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Summary:There are known short and long term health benefits to using "mother's own milk" MOM for infants in the NICU. There are also formidable barriers to breast pumping for mothers with infants in the NICU. In their overall efforts to increase the use of MOM in the NICU, our hospital started facilitating breast pump provision to mothers before their discharge from the postpartum unit in May of 2017. This quality improvement project wanted to examine the effect on percentage of MOM overall for infants in the NICU as well as for specific groups. Groups were stratified based on insurance type (Medicaid vs. private), race/ethnicity (Asian, Black, White, and Hispanic), and birthweight (1500g). We wanted to see statistically significant increases in percentage of MOM with a p value < 0.05. To collect data, we used a data warehouse management system, which pulls data directly from EPIC flowsheets after discharge, to extract: BW, number of MOM feeds, and total feeds over entire stay. Demographic information, including race/ethnicity, and insurance at time of birth, was pulled from EPIC chart review. Inclusion criteria included: all inborn infants admitted to the NICU >2 days. The pre-intervention group infants were discharged between Jan-Mar 2017 (admitted on or after Oct 1, 2016) and the post-intervention group infants were discharged between Aug-Oct 2017 (admitted on or after May 1, 2017). While we did not find a statistically significant increase overall in percentage of MOM feeds during NICU stays, we did see statistically signifanct increases in percentage of MOM feeds for infants with a BW
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.144.2MA3.268